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ICD gen change with fluoro

Date: Jan 7, 2020

Question:

I have a physician who did an ICD generator change and is wanting to bill 76000 for fluoro of lead. Report says: "Fluoroscopy of the ICD pocket, entire lead length from pocket to RA and RV was performed in AP, RAO and LAO. No externalization of the leads was noted." He then went on to exchange the generator, doing nothing to the leads. His indication is: "Fluoroscopy of leads to assess for conductor externalization." Would this be billable? He is a new EP to the practice and none of our other EPs have done this before, so we just want to be sure.

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